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Individual
JENENE ROBERTS
Active
Individual
JENENE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN140714
GA
363LG0600X
Gerontology Nurse Practitioner
Primary
RN140714
GA
Other
Enumeration date
12/29/2015
Last updated
01/03/2016
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